Individual provider Active NPI

Caitlin Freeman

  • Social Worker
  • Chicago, IL
National Provider Identifier
1770848574
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
77 W Washington St
Ste 1704
Chicago, IL 60602-3187
Phone
(419) 343-3374
Fax
(708) 575-1725
NPI assigned
Jul 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

77 W Washington St
Ste 1704
Chicago, IL 60602-3187

Mailing address

1739 N Francisco Ave
Apt 1
Chicago, IL 60647-5117
Phone (419) 343-3374

Other names 1

  • Katie Freeman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210001804 IL Practitioner - Clinical Social Worker 0547504052 Practice locations: Chicago, IL; Willow Springs, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 W Washington St
Suite 1704
Chicago, IL 60602-3187
Phone (419) 343-3374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna Wellness LLC CurrentSince Jan 24, 2021 Accepting new patients

Locations

8695 Archer Ave
Ste 12
Willow Springs, IL 60480
Phone (708) 381-0897

8695 Archer Ave
Ste 21
Willow Springs, IL 60480
Phone (708) 381-0897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1770848574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N FRANCISCO AVE",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475117",
            "telephone_number": "419-343-3374",
            "fax_number": "708-575-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "STE 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023187",
            "telephone_number": "419-343-3374",
            "fax_number": "708-575-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-08",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FREEMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.